| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $15,488.17 | $18,620.87 | |
Medica
| Facility | $398.11 | $478.63 | $812.83 | |
Midlands
| Professional | $794.33 | $794.33 | $977.24 | |
Sanford Health Plan
| Professional | $426.58 | $575.44 | $741.31 | |
United
| Facility | $812.83 | $812.83 | $812.83 |